基于人体弓弦力学理论探讨针刀治疗膝骨关节炎的临床效果  

Exploration of the clinical effect of acupotomy treatment for knee osteoarthritis based on the theory of human bowstring mechanics

作　　者：栗晓东[1] 刘红军[2] 迟文[1] 刘雅美 孔令伟[1] LI Xiaodong;LIU Hongjun;CHI Wen;LIU Yamei;KONG Lingwei(Department of Traditional Chinese Medicine,Beijing Jiaotong University Hospital,Beijing 100044,China;Department of Internal Medicine,Beijing Jiaotong University Hospital,Beijing 100044,China;Department of Stomatology,Beijing Jiaotong University Hospital,Beijing 100044,China)

机构地区：[1]北京交通大学医院中医科,北京100044 [2]北京交通大学医院内科,北京100044 [3]北京交通大学医院口腔科,北京100044

出　　处：《中国医药科学》2023年第19期99-102,共4页China Medicine And Pharmacy

基　　金：北京交通大学基本科研业务费科研学术活动资助项目(2021JBM443)。

摘　　要：目的探讨膝骨关节炎患者采取以人体弓弦力学理论为基础的针刀治疗效果。方法选取2021年2月至2023年2月北京交通大学医院中医科收治的膝骨关节炎患者86例为研究对象,根据随机数表法分为两组,每组各43例。对照组采用针刺法治疗,观察组采用针刀法治疗。比较两组治疗有效率、膝关节相关指标、疼痛评分。结果观察组总有效率高于对照组,差异有统计学意义(P<0.05)。治疗前两组膝关节相关指标比较,差异无统计学意义(P>0.05);治疗后观察组西安大略和麦克马斯特大学骨关节炎指数(WOMAC)评分、步行能力低于对照组,压痛值、膝关节活动度高于对照组,差异有统计学意义(P<0.05)。治疗前两组视觉模拟评分法(VAS)评分比较,差异无统计学意义(P>0.05);治疗后观察组VAS评分低于对照组,差异有统计学意义(P<0.05)。结论与针刺疗法比较,以人体弓弦力学理论为基础的针刀治疗膝骨关节炎效果显著,可减轻患者疼痛感,其膝关节功能及活动度等均有明显改善,临床上可借鉴及推广。Objective To explore the therapeutic effect of acupotom y on patients with knee osteoarthritis based on the theory of human bowstring mechanics.Methods A total of 86 patients with knee osteoarthritis admitted to the Department of Traditional Chinese Medicine at Beijing Jiaotong University Hospital from February 2021 to February 2023 were selected as the research objects,and they were divided into two groups by the random number table method,with 43 cases per group.The control group was treated with acupuncture,while the observation group was treated with acupotomy.The treatment effectiveness,knee joint-related indicators,and pain scores between the two groups were compared.Results The effective rate of the observation group was higher than that of the control group,with statistically significant difference(P<0.05).Before treatment,there was no significant difference in the levels of knee joint-related indicators between the two groups(P>0.05).After treatment,the observation group had lower scores of the Western Ontario and McMaster University Osteoarthritis Index(WOMAC)and walking ability compared with the control group,while had higher tenderness value and knee joint range of motion compared with the control group,with statistically significant differences(P<0.05).There was no significant difference in the visual analogue scale(VAS)scores between the two groups before treatment(P>0.05),while the VAS score of the observation group was lower than that of the control group after treatment,with statistically significant difference(P<0.05).Conclusion Compared with acupuncture,acupotomy based on the theory of human bowstring mechanics has a significant effect on treating knee osteoarthritis,reducing pain in patients,and significantly improving knee joint function and mobility.Therefore,it can be used for reference and promoted in clinical practice.

关 键 词：人体弓弦力学理论 针刀 膝骨关节炎 疼痛 关节功能 

分 类 号：R246.9[医药卫生—针灸推拿学]